ZipRecruiter

Log In

1

Healthcare Claims Management Jobs (NOW HIRING)

System One

Healthcare Claims Specialist

Tulsa, OK · On-site

$18 - $20/hr

Healthcare Claims Specialist (CONTRACT Opportunity) Downtown Tulsa, OK Monday-Friday | 8:00 AM - 5:00 PM | Onsite Project Assignment Through March 2027 - IMMEDIATE START Pay rate DOE: $18-20/hr.

System One

Healthcare Claims Adjuster

Baltimore, MD · Remote

$25/hr

Job Title : Healthcare Claims Adjuster Location : Baltimore, Maryland (meetings and tranings) Type: Contract To Hire Compensation : $25/HR Contractor Work Model : 80% Remote (must reside in D.C., MD ...

System One

Healthcare Claims Adjuster

Baltimore, MD · Remote

$25/hr

Job Title : Healthcare Claims Adjuster Location : Baltimore, Maryland (meetings and tranings) Type: Contract To Hire Compensation : $25/HR Contractor Work Model : 80% Remote (must reside in D.C., MD ...

System One

Healthcare Claims Adjuster

Baltimore, MD · Remote

$25/hr

Job Title : Healthcare Claims Adjuster Location : Baltimore, Maryland (meetings and tranings) Type: Contract To Hire Compensation : $25/HR Contractor Work Model : 80% Remote (must reside in D.C., MD ...

Karna LLC

Experienced Healthcare Claims Processor

$22 - $25/hr

Analyze and report on trends in claim issues or irregularities to management, contributing to ... Understanding of medical terminology, healthcare services, and insurance procedures (worker ...

NTT DATA

Healthcare Claims Processor, Remote

$17.50 - $22/hr

... in Healthcare Claims Processing * 2+ years using a computer with Windows applications using a ... Time management with the ability to cope in a complex, changing environment * Ability to ...

next page

Showing results 1-20

All JobsHealthcare Claims Management Jobs

Healthcare Claims Management information

See salary details

$35K

$87.9K

$139K

How much do healthcare claims management jobs pay per year?

As of Jul 27, 2026, the average yearly pay for healthcare claims management in the United States is $87,861.00, according to ZipRecruiter salary data. Most workers in this role earn between $68,000.00 and $105,000.00 per year, depending on experience, location, and employer.

What healthcare jobs pay over $100k per year?

In healthcare claims management, senior roles such as Claims Director or Manager can earn over $100,000 annually, especially with extensive experience and certifications like CPC or CCS. Other high-paying healthcare roles include physicians, healthcare executives, and specialized nurses, which often require advanced degrees and specialized skills.

What is the difference between Healthcare Claims Management vs Medical Billing Specialist?

AspectHealthcare Claims ManagementMedical Billing Specialist
CredentialsTypically requires knowledge of insurance policies, coding, and claims processing; certifications like CPC or CCS are commonRequires coding and billing knowledge; certifications like CPC are often preferred
Work EnvironmentOften in healthcare offices, insurance companies, or claims processing centersPrimarily in medical offices, hospitals, or billing companies
Job FocusManaging and processing insurance claims, resolving claim denials, ensuring compliancePreparing and submitting patient bills, coding procedures, and following up on payments
Industry UsageUsed across healthcare providers, insurance companies, and third-party administratorsPrimarily used within healthcare providers' billing departments

While both roles involve billing and coding, Healthcare Claims Management focuses on overseeing the entire claims process, including denials and compliance, whereas Medical Billing Specialists handle the day-to-day billing and coding tasks for patient accounts.

What is the highest paying job in healthcare management?

The highest paying roles in healthcare management are often executive positions such as Chief Executive Officer (CEO), Chief Operating Officer (COO), or Chief Financial Officer (CFO) within healthcare organizations. These roles typically require extensive experience, advanced degrees, and strong leadership skills, with salaries often exceeding six figures annually.

What is healthcare claims management?

Healthcare claims management is the process of handling medical insurance claims, from submission to reimbursement. It involves reviewing, processing, and following up on claims sent to insurance companies by healthcare providers. The goal is to ensure that providers are accurately paid for services rendered and that patients' insurance benefits are correctly applied. Effective claims management helps reduce denials, improve cash flow, and minimize administrative errors in healthcare billing.

What is claims management in healthcare?

Claims management in healthcare involves processing and reviewing insurance claims to ensure accurate billing and reimbursement. Healthcare claims specialists verify patient information, coding, and documentation to facilitate timely payment from insurance providers, often using claims processing software and adhering to industry regulations.

What are the key skills and qualifications needed to thrive in Healthcare Claims Management, and why are they important?

To thrive in Healthcare Claims Management, you need a solid understanding of medical billing, insurance policies, coding systems (such as ICD-10 and CPT), and typically a relevant associate’s or bachelor’s degree. Familiarity with claims processing software, electronic health record (EHR) systems, and regulatory compliance tools is essential. Strong attention to detail, analytical thinking, and effective communication help you resolve discrepancies and interact with providers and payers. These skills are crucial for ensuring accurate claims processing, minimizing denials, and maintaining efficient revenue cycles in healthcare organizations.

What is the career path of a claims manager?

A claims manager in healthcare typically advances from roles such as claims examiner or claims analyst, gaining experience in claims processing and insurance policies. With experience and additional certifications, they can move into senior management, claims director, or specialized roles like compliance or audit manager, often requiring strong leadership, analytical skills, and knowledge of healthcare regulations.

What are some common challenges faced in healthcare claims management, and how can professionals effectively address them?

Healthcare claims management professionals often encounter challenges such as processing complex claims, navigating frequent regulatory changes, and handling denied or delayed claims. To address these issues, professionals must stay updated on the latest healthcare regulations and payer requirements and develop strong attention to detail when reviewing documentation. Collaborating closely with billing teams and insurance providers, as well as using advanced claims management software, can help streamline workflows and reduce errors, ultimately improving the accuracy and efficiency of claims processing.
More about Healthcare Claims Management jobs
What cities are hiring for Healthcare Claims Management jobs? Cities with the most Healthcare Claims Management job openings:
What states have the most Healthcare Claims Management jobs? States with the most job openings for Healthcare Claims Management jobs include:
What job categories do people searching Healthcare Claims Management jobs look for? The top searched job categories for Healthcare Claims Management jobs are:
Healthcare Claims Management jobs near you
Infographic showing various Healthcare Claims Management job openings in the United States as of July 2026, with employment types broken down into 90% Full Time, 8% Part Time, and 2% Contract. Highlights an 87% Physical, 4% Hybrid, and 9% Remote job distribution, with an average salary of $87,861 per year, or $42.2 per hour.
Healthcare Claims Specialist

Healthcare Claims Specialist

System One

Tulsa, OK • On-site

$18 - $20/hr

Contractor

Medical, Dental, Vision, Life, Retirement

Posted 18 days ago

Job description

Healthcare Claims Specialist (CONTRACT Opportunity)

Downtown Tulsa, OK Monday–Friday | 8:00 AM – 5:00 PM | Onsite Project Assignment Through March 2027 - IMMEDIATE START Pay rate DOE: $18-20/hr.

System One is hiring a Healthcare Claims Specialist for a project-based opportunity with a respected healthcare organization in Tulsa. If you have healthcare claims or medical insurance experience and enjoy problem-solving in a fast-paced environment, we'd love to hear from you!

What You'll Do

  • Learn and work within the QNXT claims processing system.
  • Execute system and user acceptance testing (UAT) during implementation.
  • Validate member benefits, eligibility, and claims processing.
  • Verify claims adjudication accuracy and provider contract configurations.
  • Identify, document, and communicate testing results and system issues.
  • Collaborate with project teams to troubleshoot and resolve issues.
  • Support successful implementation of a major claims system project.

What We're Looking For

  • Healthcare claims processing experience preferred.
  • Medical insurance, healthcare operations, or related healthcare experience required.
  • Previous QA, system testing, or UAT experience is a plus.
  • Strong analytical skills and exceptional attention to detail.
  • Excellent computer, documentation, and communication skills.
  • Experience with QNXT is preferred but not required.

If you're ready to put your healthcare claims experience to work on an exciting implementation project, apply today!

System One, and its subsidiaries including Joulé and Mountain Ltd., are leaders in delivering outsourced services and workforce solutions across North America. We help clients get work done more efficiently and economically, without compromising quality. System One not only serves as a valued partner for our clients, but we offer eligible employees health and welfare benefits coverage options including medical, dental, vision, spending accounts, life insurance, voluntary plans, as well as participation in a 401(k) plan.

System One is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, age, national origin, disability, family care or medical leave status, genetic information, veteran status, marital status, or any other characteristic protected by applicable federal, state, or local law.

#M- #LI-

Ref: #208-Rowland Tulsa